Keratoconus is a degenerative disorder associated with structural changes in the cornea. The progressive degeneration and weakening of the cornea eventually result in a "cone-like" shape. Once the cornea shape changes enough, the cornea fails to focus light properly on the retina, thereby causing distorted vision. In its severe stages, keratoconus may lead to irreversible corneal damage. In fact, more than 15 percent of all corneal transplant procedures performed in the United States each year are a result of keratoconus.
The surgeons of Solomon Eye Physicians and Surgeons, a leading Maryland eye care practice, offer comprehensive management and treatment for various eye conditions, including keratoconus. Contact our Greenbelt or Bowie, MD office today to schedule your keratoconus evaluation. Dr. Jonathan Solomon and Dr. Stephen Solomon utilize the most innovative diagnostic equipment, including computerized corneal mapping, to diagnose keratoconus. They also provide the most cutting-edge treatment techniques, including corneal cross-linking, INTACS corneal implants, and DALK (deep anterior lamellar keratoplasty). The goal of treatment is to slow the progression of keratoconus, thereby preserving the patient's vision and eliminating the need for corneal transplant surgery.
"Every staff member had a welcoming smile and treated myself and others with the utmost respect! One of the nicer eye doctors I've been to. Even had some nice art around the lounge!!"- J.W. / Yelp / Nov 20, 2019
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"ICL surgery went extremely well. I initially went to Lasik but my eyes were too weak (-12.5 eye presecription with astigmatism), a little older than some at 49 and my corneas too thin. They recommended me to Dr. Solomon, and I am very grateful that they did. From my initial exam to post surgery Dr. Solomon and his staff have been exceptional. I had some eye prescription stability issues with the initial visit, so I had to where my glasses for a week, once my prescription stabilized, I had the surgery and then had issues with eye pressure. After a few eye visits and some additional eye drops I could not be more pleased with the results being able to see everything so clearly without any contacts or reading glasses."- R.T. / Google / Oct 26, 2019
"ICL surgery went extremely well. I did have some eye pressure issues after surgery but the office gave me medicine to relieve the pressure and follow up appointments all free of charge. I couldn't be more pleased with the results. My eye prescription was -12.5 with astigmatism, now I see 20/20 without any type of lenses. Not bad for a 49 year old. I highly recommend Dr Solomon and his staff for your eye care."- R.T. / Google / Sep 29, 2019
"Would recommend to everyone. My wife and I have been patients of Steve Solomon and then Johnathan Solomon for years. We both have had cataract surgery which has been wonderful and life changing. Office staff super helpful. Jasmine G is a real asset. If we could give them ten stars we would!!!"- J.D. / Google / May 14, 2019
Keratoconus is typically genetic, but it can develop due to outside factors, such as corneal thinning after eye surgery or aggressive, compulsive eye rubbing. It usually develops in the early years of an individual's life and may progress slowly. In fact, this condition is often undiagnosed until obvious signs and symptoms occur.
The most common symptoms associated with keratoconus are:
- Irregular astigmatism
- Progressive loss of distance vision
- Light sensitivity and glare
- Blurred and distorted vision
- Frequent changes in eyeglass prescription
Most often, keratoconus is a hereditary condition. However, the weakening of corneal tissue (keratoconus) can be caused by several factors, including exposure to UV light, chronic eye irritation, imbalance of enzymes within the cornea, years of using poorly fitted contacts, extreme eye rubbing, and complications following eye surgery.
Keratoconus Treatment Options
At Solomon Eye Physicians and Surgeons, our experts provide the most advanced keratoconus treatments for each stage of the disease. Most patients with early keratoconus can obtain clear vision with eyeglasses or contacts; however, once the disease progresses enough, those will no longer help. Fortunately, there are remarkable options available to continue to maintain vision:
Corneal Collagen Cross-Linking (CXL) – Also called UV riboflavin CXL, corneal cross-linking is a painless procedure that is performed on an outpatient basis. UV riboflavin CXL involves the use of riboflavin eye drops (Vitamin B2) in combination with ultraviolet light to promote the growth of collagen cross-links within the damaged cornea. It is believed that restoration of corneal collagen links strengthens the corneal tissue, thereby preventing the development of the misshapen "cone-like" cornea associated with keratoconus.
INTACS® Corneal Implants – Dr. Jonathan Solomon belongs to a select group of surgeons worldwide certified to perform INTACS surgery. INTACS corneal implants are tiny, semicircular plastic rings that are inserted at the outer edges of the cornea to flatten its central area to correct myopia and treat keratoconus. The placement of INTACS remodels and reinforces the cornea, eliminating some or all of the irregularities caused by keratoconus. Although glasses or contacts may still be required following treatment, coupled with other promising treatments, the procedure has been shown to reduce the progression of keratoconus and save patients from needing corneal transplantation.
CK – Conductive keratoplasty is a refractive surgery for patients with hyperopia related to keratoconus and/or presbyopia or mild astigmatism. The procedure is best suited for patients over the age of 40 who have had a stable prescription for at least six months. CK is performed utilizing radio waves so certain types of electrical equipment, like pacemakers, can cause negative interference.
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Keratoconus is manageable
Though keratoconus can cause loss of vision and even blindness if left untreated, it can be easily and effectively managed by an experienced ophthalmologist. If you or a loved one has been diagnosed with keratoconus or think you may have it, we urge you to contact us today at our Greenbelt or Bowie, MD office. At Solomon Eye Physicians and Surgeons, our experts are ready to provide you with proper diagnosis by some of the most skilled care in the region.